Active NPI
Marc S Berger V, M.D.
- Specialist
- Dallas, TX
National Provider Identifier
1215950084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- E7821
- Practice address
- 12840 Hillcrest Plaza Drive
Suite E100
Dallas, TX 75230-1532 - Phone
- (214) 341-8770
- Fax
- (214) 341-1603
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | E7821 | TX | Primary |
Addresses
Primary practice location
12840 Hillcrest Plaza Drive
Suite E100
Dallas, TX 75230-1532
Mailing address
P.O. Box 821868
Dallas, TX 75382-1868
Phone (214) 341-8770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E7821 | TX | MD | Specialist |
Interoperability endpoints
- marc.berger.1@24920.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1215950084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 821868",
"city": "DALLAS",
"state": "TX",
"postal_code": "753821868",
"telephone_number": "214-341-8770",
"fax_number": "214-341-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12840 HILLCREST PLAZA DRIVE",
"address_2": "SUITE E100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752301532",
"telephone_number": "214-341-8770",
"fax_number": "214-341-1603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "MARC",
"middle_name": "S",
"name_prefix": "Dr.",
"name_suffix": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "E7821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.